Nuss手术微创治疗小儿漏斗胸21例

目的:探讨非胸腔镜Nuss手术矫治小儿漏斗胸的效果、并发症和临床经验。方法:对21例漏斗胸患儿采用Nuss手术矫治。21例均在双侧胸壁做小切口,在非胸腔镜辅助下将塑形矫形钢板由右胸壁经胸骨后穿至左胸壁,翻转矫形板,将胸骨抬起矫正胸骨凹陷,矫形钢板单侧用固定片固定于肋骨。结果:21例均顺利完成手术,手术30~50 m in,术中平均出血量≤ 10 m l。术后平均住院6.2天;4例发生少量气胸。矫形效果17例为优,4例为良。随访1~20个月,均无不适。结论:非胸腔镜辅助下Nuss手术微创治疗漏斗胸,创伤小,近期矫形效果满意,是一种值得尝试和推广的手术方法,但远期效果有待进一步观察。

Nuss procedure for correction of pectus excavatum:a report of 21 cases

Objective:To investigate the effect of Nuss procedure with non-thoracoscope in treatment of funnel chest in children.Methods:Twenty-one children with funnel chest had Nuss operation with no assistance of thoracoscope.A small incision was made in each lateral chestwall,a steel bar was inserted under the sternum from the right thoracic cavity,and then the bar was turned over to raise the sternum to the normal position.The bar was fixed to the bilateral costal bones by using two stabilizing bars.Results:The op...